Individual
ELLIOT DAVID SALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3509 E SHEA BLVD, #117, PHOENIX, AZ 85028-3336
(602) 569-0406
Mailing address
4757 E GREENWAY RD, #107-B, PMB 282, PHOENIX, AZ 85032-8513
(602) 679-5481
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1176
AZ
103T00000X
Psychologist
6301001675
MI
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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